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'parenting' posts

Caring for your child's cast

Kids of all generations from all walks of life have one thing in common and that is the love of play and imagination. Play structures, a couch turned to a fort, or their sworn innate ability to fly can take a sour turn. As much as we would like to wrap our little Spider Mans, Incredible Hulks and Wonder Women in bubble wrap, unfortunately life’s little incidences are inevitable.

If ever the time comes where your Super Hero suffers from an injury and needs a cast, it is time to put on your Super Parent costume.

Here are some helpful tips on cast care for the Super Parent:

  • Bathing: Absolutely no showers. We ask parents to give kids a bath instead, keeping the casted limb outside of the tub. In addition, we suggest wrapping the cast with a towel and covering with a newspaper bag or bread bag and closing it off with a rubber band at the top for added protection.
  • Itching: The golden rule of having a cast is DO NOT STICK ANYTHING IN THE CAST! Scratching an itch with an object can cause the skin to break underneath the cast, leaving room for infection. If your child has itching, tapping on the outside of the cast or using a hair dryer set on cool can help.
  • If a cast...

Tips for getting the most out of your inhalers

“Darn! My inhaler is out and I am going to have to call today, a Sunday, to get a refill…”

Spring is here! And that means asthma season is back, and with the nicer weather, pollen counts are high. Flowers are wonderful and the trees beautiful, but if you are like me, some of those plants have your number. The beautiful smells come with itchy eyes, sneezes, and for some, a serious amount of wheezing.

Patients are reaching for their inhalers more often, and sometimes getting into serious respiratory trouble, especially if their medication is running short. Inhalers are expensive, too, and so using them optimally is both financially and healthfully important.

Fortunately, a couple of tricks can really help maximize an asthma spray’s value.

The medication comes out fast and hard when you squeeze the canister, and it can be difficult to time your breath to inhale the dose well, plus with the energy of the release being so high, a lot of misted drug can zoom right out of your mouth. The trick is to use a ‘spacer’, and the simplest is a rolled up piece of paper, to about a one inch diameter. Tuck the sprayer in the far end, wrap your lips around the outside of the other end, and take your leisure squeezing and breathing! The tube holds the mist in place for a few seconds, letting you better coordinate your inhalation and improve substantially the amount of drug you get to where it is needed.

The second tip is to use a steroid inhaler daily if you need your rescue inhaler more than a few times a week. The rescue inhaler will become less effective the more you use it if you don’t directly treat the inflammation of the allergic response in your bronchial tubes with a low dose of cortisone type medication. The dose of the latter is small and will not cause harm to the rest of your system if used according to directions, but it will keep your rescue medication most beneficial!

Two years in the life of the Swedish blog

For those of you who don't know, today is the official two year anniversary of the Swedish blog - this means Swedish has been blogging several times a week for two full years!

What have we been blogging about this year?

Who's been blogging?

We've had people from across Swedish blogging (more than 100 the last time we checked), including:

  • Surgeons

  • Nurses

  • Family Medicine and Primary Care Physicians

  • Dietitians

  • Educators

  • (And many others!)

Why are we blogging?

We started the blog as a way to connect with you (our community), whether you're a current patient, a past patient, a future patient…or just someone who stumbled across our site looking for health information. We believe our role is to be a resource of information, both online and off. Blogging gives us an easy way to keep you up to date, informed, and engaged on a number of health topics

Mother Nature’s Role in Healing Our Children

I am a pediatric hospitalist. That is, I am a pediatrician who takes care of children sick enough to be hospitalized. So my writing about the importance of children spending time outdoors and enjoying nature might be surprising. Even though I may only take care of a child for the worst few days of their life, I am still quite passionate about the fundamental role of outdoor play in a child’s health and well-being.

Even during acute illness, I find that children often heal faster when they are given more opportunities to be playful and (illness-allowing) go outdoors to allow Mother Nature to heal them from within. So needless to say, I am often amazed at how little exposure many of these children have had, even prior to becoming ill, to spend time playing outdoors and getting to know their environment.

Now especially, as the days begin to get longer, and the refreshing spring air returns to our beautiful Pacific Northwest, I start thinking about all the wonderful outdoor fun I used to have as a child, and the importance such activities had on my own health and overall sense of well-being.

I worry that children of today encounter ....

Due July 2013: The Lytle Center for Pregnancy & Newborns

No matter how many times you’ve been through it, expecting, having, and raising a baby are truly some of life’s biggest challenges. Making that adventure a little less stressful is what The Lytle Center for Pregnancy & Newborns will be all about when it opens in July 2013 at Swedish/First Hill.

It will be the “go-to” place for moms and dads (and brothers and sisters and grandmas and grandpas) expecting a new baby. In this warm, welcoming space, new families will take classes, gather support from each other, get help with lactation, purchase necessities, and take advantage of a new mom and well-baby exam a few days after birth to make sure everything’s going just right.

Here are just a few of the services that will be available at The Lytle Center:

When a belly ache or stomach pain might mean appendicitis

As a pediatric surgeon, I am often asked when to “worry” about abdominal pain. Children often report aches or pains near the belly button (umbilicus), and the question arises around when this might mean something significant such as appendicitis.

Appendicitis is a common occurrence affecting about 7% of people over their lifetime, and it begins with vague abdominal pain of the central abdomen. Once the appendix becomes obstructed and begins to suffer from lack of circulation (ischemia), the body can detect more accurately the exact source of the pain. After this localization occurs, children older than 6 or so can identify that the pain is most severe in the right lower part of the abdomen. The localization usually occurs within 24 hours of feeling unwell. The pain is typically worse with movement of the appendix during activities such as walking, coughing, and change in position. I often ask children to jump up and down (on their bed is something kids are excited to do!) and watch their face to see if they wince. Typically with appendicitis, a child will either refuse to jump or may try it once but will not continue due to the pain.

Distraction is also frequently used in children that seem to be particularly “focused” on their pain. In gently feeling the abdomen of a child with early appendicitis that is distracted, the abdomen is soft until palpating the area of the appendix. This right lower part of the abdomen is...

Mindfulness for Childbirth and Parenting

What is mindfulness?

Mindfulness is defined by Nancy Bardacke, author of Mindful Birthing, as "the awareness that arises from paying attention, on purpose, in the present moment, and non-judgementally. It is cultivated through meditation practice and can help you navigate the uncharted waters that lie ahead with more joy, kindness, awareness, calm and wisdom than you might have otherwise. Mindfulness is a universal capacity of the human mind, but unless we intentionally choose to cultivate it, we can spend much of our lives on automatic pilot, sleepwalking through life rather than being fully present for it."

What makes mindfulness helpful for pregnancy? Or parenting?

"Taking the time to learn mindfulness through meditation practice now can help you more skillfully manage the inevitable stresses of pregnancy and the irreducible element of uncertainty of the birthing process. More than that, mindfulness meditation can help you manage the intense sensations of childbirth we usually call pain, increasing your confidence and decreasing the fears that so often accompany this profound journey into the unknown. And mindfulness can help you cultivate lifelong inner skills for healthy living, wise parenting, and loving partnership. " (- Nancy Bardacke)

How do I learn how to meditate to cultivate mindfulness?

The best way to learn is by taking a mindful birthing weekend workshop or 9 week course which are just now becoming available in our area (click here for a flyer about a weekend workshop coming up in March).  Other ways to learn are...

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